DOL Parking Permit Request Form

DOL Monthly Parking Request and Approval Form

ATTN: Per DOL Parking Management, if you previously had a permit with DOL, your Payments must be paid off through the cancellation date or you cannot receive a new pass or sticker!!! NO Exceptions! PARKING FEES ARE NON-REFUNDABLE!!
** Only authorized personnel can purchase parking permits. Please do not register to purchase a parking pass if you are not authorized or Pre-approved to park in the garages located at the Department of Labor FPB building. Parking Management will verify all personnel to ensure authorization. **
Name*

First NameLast Name
Email*
example@dol.gov
Phone Number*
Please enter a valid phone number.
Agency*
Office Number*
Please enter a valid phone number.
*Category *
Carpool, Single Rider, or SES
Car Information
Car #1*

MakeModelYearColor
License Plate #*
Please Include State
Car #2

MakeModelYearColor
License Plate #
Please Include State
Rider Information
Rider Name 1
Phone Number
Please enter a valid phone number.
Rider Name 2
Phone Number
Please enter a valid phone number.
Rider Name 3
Phone Number
Please enter a valid phone number.
Rider Name 4
Phone Number
Please enter a valid phone number.
Rider Name 5
Phone Number
Please enter a valid phone number.
Rider Name 6
Phone Number
Please enter a valid phone number.
**WHEN SUBMITTING THIS FORM YOU AGREE TO THE DISCLOSURE WRITTEN BELOW.

NOTE: DOL's SECURITY NETWORK WILL SOMETIMES PREVENT VIEWING OF THE DISCLOSURE. IF IT IS NOT PRESENT BELOW, PLEASE TRY FORWARDING THIS FORM TO A PERSONAL EMAIL OR OPENING THE FORM IN A WEB BROWSER OUTSIDE OF THE DOL NETWORK **
Date*

MonthDayYear
**DISCLOSURE: By submitting this form, I agree that I am authorized personnel who has received pre-approval to park in the garage located at the Department of Labor FPB building. I also agree that if I do not intend to use the parking facilities for any extended period of time (30 days or longer), I will contact the Parking Office to cancel my parking and return my permit. If I do not cancel my parking and return the physical pass to the Parking Office, I am still liable for the monthly parking fee and/or late fees until my Permit account is cancelled.

PRESS "ENTER" OR CLICK "SUBMIT" BELOW
Should be Empty:

DOL Monthly Parking Request and Approval Form

Car Information

Rider Information